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NPI Code Detail

MEDICARE: DR. JAMES BRIEN O'CALLAGHAN PH.D.

MEDICARE: DR. JAMES BRIEN O'CALLAGHAN PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist000930CT
2106H00000XMarriage & Family Therapist000101CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689796690
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES BRIEN O'CALLAGHAN PH.D.
Provider Business Mailing Address
First Line : 54 PLUMTREES RD
Second Line :
City : BETHEL
State : CT
Zip : 06801-1645
Country : US
Telephone Number : 203-743-1633
Fax Number : 203-791-8300
Provider Business Practice Location Address
First Line : 4 MAIN ST
Second Line :
City : NEW MILFORD
State : CT
Zip : 06776-2802
Country : US
Telephone Number : 203-740-2595
Fax Number : 203-740-2287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 03/25/2026

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